Few signs that Obama summit moved needle on health care

There was little evidence on Capitol Hill Friday that Obama's 7 1/2-hour bipartisan summit on health care had boosted momentum to pass a massive overhaul of the health care system. More likely, Congress will take up smaller issues for which there's consensus.

WASHINGTON — Congress Friday was expected to consider health care legislation on two tracks, tackling smaller issues that are likely to have strong support while trying to craft a comprehensive package that's likely to provoke partisan disagreements.

President Barack Obama has tried to create momentum for the broader package this week, but there was little evidence on Capitol Hill that his 7 1/2-hour bipartisan summit on Thursday had accomplished much.

"I don't think the summit changed anything," said Rep. Jason Altmire, D-Pa., one of 54 members of the House of Representatives Blue Dog Coalition of moderate-to-conservative Democrats. "We still have a problem. The summit was a recitation of talking points on both sides, and there was no new information."

What the moderates liked — as do many Republicans — are a series of popular changes.

The first came earlier this week when the House overwhelming approved stripping health insurance companies of their antitrust exemption. The next could permit children to remain on their parents' insurance policies through their mid to late 20s.

The major Democratic focus, though, will be on the larger package. The Senate and House passed different versions of health care legislation late last year, but it's languished as the two houses have been unable to compromise.

Democratic leaders Friday said they were newly optimistic.

"I think we're ready now for the big game. We're ready for the finale," said House Rules Committee Chairman Louise Slaughter, D-N.Y. "What the summit did is give us a little more spine," added Rep. Bill Pascrell, D-N.J.

House Speaker Nancy Pelosi, D-Calif., said that Obama's health care plan, released Monday, addresses several key House Democratic concerns. Among them: Changing the Senate plan to tax high-end policies, although that wouldn't take effect until 2018 and would apply only to premiums of more than $10,200 for individuals and $27,500 for families.

House Speaker Nancy Pelosi, D-Calif., said Obama’s health care plan, released Monday, addresses several key House Democratic concerns,. Among them: Changing the Senate plan to tax high end policies so it does not take effect until 2018 and applies only to premiums of more than $10,200 for individuals and $27,500 for families.

She also praised Obama's plan for getting rid of special Medicaid aid to Nebraska, a last minute Senate addition to woo Sen. Ben Nelson, D-Neb., while providing significant increases in federal financing for all states for the health insurance program for lower income people.

Pelosi did have one major concern: She wants to see health insurance policies become more affordable to middle income consumers. The House bill had guaranteed no more than a family of four earning between $33,000 and $44,000 would pay no more than 3 to 5.5 percent of their income for premiums, and get federal help for the rest of the cost. Obama, though, has proposed that income level rise to 4 to 6.3 percent.

Passing any legislation, though, will be difficult; not only because of centrist hesitation, but also because it's unlikely that Senate Democrats can muster the 60 votes that are needed to cut off debate.

Senate leaders are considering using a process called "reconciliation" to pass the health legislation because that would require only 51 votes and Democrats control 59 seats.